Fred Charles Boch, LCSW

NPI #1477618734 in Breese, Illinois

Provider Information

NPI Number
1477618734
Entity Type
Individual
Name
Fred Charles Boch, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
9401 HOLY CROSS LN
Address 2
SUITE 112
City
Breese
ZIP Code
62230-3510
Phone
(618) 526-7271

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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